Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 42500 | AZ |
NPI | 1194883223 |
---|---|
Provider Name | Dr. Rafath U Baig |
First Address | Mesa, AZ 85206-4633 |
Second Address | Mesa, AZ 85206-4633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 13/04/2012 |